PDF(Pubmed)
Abstract：
The Medical Radiation Practice Board of Australia (MRPBA) minimum competency framework requires all Australian radiographers to identify significant pathology in radiological images and take appropriate action to alert these urgent findings and ensure patient safety. Despite professional bodies endorsing the provision of preliminary image evaluations (PIE) in written format, radiographer image interpretation often remains inconsistent, informal, or undocumented. The purpose of this narrative review was to assess the literature to determine if PIE in the form of written radiographer comments is of value to the Australian healthcare system. A structured search was completed using four health research databases: CINAHL, Medline, Scopus and Web of Science. Studies have suggested that there is a contextual need for commenting due to increased imaging service pressures, radiologist shortages and subsequent reporting delays. Radiographers appear well placed and willing to provide accurate initial input with evidence that this would be valued and appreciated within the multidisciplinary team. Radiographer commenting has also been shown to reduce diagnostic and communicative errors with the potential to improve patient management. Finally, it was shown that participation in image interpretation practices can enhance recruitment, retention and job satisfaction among radiographers. Therefore, the current literature supports implementation of radiographer commenting within the Australian healthcare system.
摘要：
澳大利亚医学放射实践委员会（MRPBA）最低能力框架要求所有澳大利亚放射技师在放射图像中识别重要的病理，并采取适当的行动来警告这些紧急发现并确保患者安全。尽管专业机构认可以书面形式提供初步图像评估（PIE），放射技师图像解释往往不一致，非正式,或无证件。这篇叙述性评论的目的是评估文献，以确定以书面放射线摄影师评论形式的PIE是否对澳大利亚医疗保健系统具有价值。使用四个健康研究数据库完成了结构化搜索：CINAHL，Medline,Scopus和WebofScience研究表明，由于成像服务压力的增加，存在评论的上下文需要，放射科医生短缺和随后的报告延误。放射技师似乎处于有利地位，并愿意提供准确的初始输入，并提供证据证明这将在多学科团队中得到重视和赞赏。放射技师的评论也已被证明可以减少诊断和沟通错误，并有可能改善患者管理。最后,研究表明，参与形象解读实践可以加强招聘，放射技师的保留率和工作满意度。因此,当前的文献支持在澳大利亚医疗保健系统中实施放射线照相员评论。
